Service user experiences and views regarding telemental health during the COVID-19 pandemic: A co-produced framework analysis.
Norha Vera San Juan,Prisha Shah,Merle Schlief,Rebecca Appleton,Patrick Nyikavaranda,Mary Birken,Una Foye,Brynmor Lloyd-Evans,Nicola Morant,Justin J. Needle,Alan Simpson,Natasha Lyons,Luke Sheridan Rains,Zainab Dedat,Sonia Johnson +14 more
TLDR
In this paper, the authors conducted a collaborative framework analysis of data from semi-structured interviews with a sample of people already experiencing mental health problems prior to the COVID-19 pandemic and extracted data relevant to participants' experiences and views regarding telemental health during the pandemic.Abstract:
Background
The prominence of telemental health, including providing care by video call and telephone, has greatly increased during the COVID-19 pandemic. However, there are clear variations in uptake and acceptability, and concerns that digital exclusion may exacerbate previous inequalities in access to good quality care. Greater understanding is needed of how service users experience telemental health, and what determines whether they engage and find it acceptable.
Methods
We conducted a collaborative framework analysis of data from semi-structured interviews with a sample of people already experiencing mental health problems prior to the pandemic. Data relevant to participants’ experiences and views regarding telemental health during the pandemic were identified and extracted. Data collection and analysis used a participatory, coproduction approach where researchers with relevant lived experience, contributed to all stages of data collection, analysis and interpretation of findings alongside clinical and academic researchers.
Findings
The experiences and preferences regarding telemental health care of the forty-four participants were dynamic and varied across time and settings, as well as between individuals. Participants’ preferences were shaped by reasons for contacting services, their relationship with care providers, and both parties’ access to technology and their individual preferences.
While face-to-face care tended to be the preferred option, participants identified benefits of remote care including making care more accessible for some populations and improved efficiency for functional appointments such as prescription reviews. Participants highlighted important challenges related to safety and privacy in online settings, and gave examples of good remote care strategies they had experienced, including services scheduling regular phone calls and developing guidelines about how to access remote care tools.
Discussion
Participants in our study have highlighted advantages of telemental health care, as well as significant limitations that risk hindering mental health support and exacerbate inequalities in access to services. Some of these limitations are seen as potentially removable, for example through staff training or better digital access for staff or service users. Others indicate a need to maintain traditional face-to-face contact at least for some appointments. There is a clear need for care to be flexible and individualised to service user circumstances and preferences. Further research is needed on ways of minimising digital exclusion and of supporting staff in making effective and collaborative use of relevant technologies.read more
Citations
More filters
Journal ArticleDOI
Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care
Sonia Johnson,Christian Dalton-Locke,John M. Baker,Charlotte Hanlon,Tatiana Taylor Salisbury,Matt Fossey,Karen Newbigging,Sarah Carr,Jennifer M. Hensel,Giuseppe Carrà,Urs Hepp,Constanza Caneo,Justin J. Needle,Brynmor Lloyd-Evans +13 more
TL;DR: Approaches to crisis management in the voluntary sector are more flexible and informal: such services have potential to complement and provide valuable learning for statutory sector services, especially for groups who tend to be underserved or disengaged.
Journal ArticleDOI
The Impact of the COVID-19 Pandemic on Mental Health Care of Children and Adolescents in Switzerland: Results of a Survey among Mental Health Care Professionals after One Year of COVID-19
TL;DR: For the first pandemic year, youth mental health professionals reported a large increase in the treatment demand and waiting time and a worrisome overload of treatment services.
Journal ArticleDOI
Synthesis of the Evidence on What Works for Whom in Telemental Health: Rapid Realist Review
Merle Schlief,K. Saunders,Rebecca Appleton,Phoebe Barnett,Norha Vera San Juan,Una Foye,R. R. Olive,K. Machin,Prisha Shah,Beverley Chipp,Natasha Lyons,C. Tamworth,Karen Persaud,M. Badhan,Carrie-Ann Black,Jacqueline Sin,Simon Riches,Thomas R. Graham,Jeremy Greening,Farida M. Pirani,Raza Griffiths,Tamar Jeynes,Rosemarie McCabe,Brynmor Lloyd-Evans,Alan Simpson,Justin J. Needle,Kylee Trevillion,Sonia Johnson +27 more
TL;DR: This rapid realist review aims to develop a theory about which telemental health approaches work, for whom, in which contexts, and through what mechanisms, and to ensure that face-to-face care of equivalent timeliness remains available.
Journal ArticleDOI
Exploring Access to Mental Health and Primary Care Services for People With Severe Mental Illness During the COVID-19 Restrictions
Elizabeth Newbronner,Panagiotis Spanakis,Ruth Wadman,Suzanne Crosland,Paul Heron,Gordon Johnston,Laurens Walker,Simon Gilbody,Emily Peckham +8 more
TL;DR: How satisfied people with severe mental illness (SMI) are with the support received during the pandemic is explored; any difficulties encountered when accessing both mental health and primary care services are understood; and the perceived need for future support from mental health services is assessed.
Journal ArticleDOI
Examining clinicians’ concerns delivering telemental health interventions directly to autistic individuals during COVID-19
Lucy Oliver Adams,Nicoletta Adamo,Matthew J. Hollocks,Lucia Valmaggia,Aylana Brewster,Jennifer M. Watson,Maisie Krisson,Emily Simonoff +7 more
TL;DR: In this article , a convenience sample of 55 clinicians completed an online survey regarding their perspectives of adopting telemental health interventions in ASD, with closed-and open-answered questions.
References
More filters
Journal ArticleDOI
Using the framework method for the analysis of qualitative data in multi-disciplinary health research
TL;DR: Used effectively, with the leadership of an experienced qualitative researcher, the Framework Method is a systematic and flexible approach to analysing qualitative data and is appropriate for use in research teams even where not all members have previous experience of conducting qualitative research.
Journal ArticleDOI
Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science.
Emily A. Holmes,Emily A. Holmes,Rory C. O'Connor,V. Hugh Perry,Irene Tracey,Simon Wessely,Louise Arseneault,Clive Ballard,Helen Christensen,Roxane Cohen Silver,Ian P. Everall,Tamsin Ford,Ann John,Thomas Kabir,Kate King,Ira Madan,Susan Michie,Andrew K. Przybylski,Roz Shafran,Angela Sweeney,Carol M. Worthman,Lucy Yardley,Katherine Cowan,Claire Cope,Matthew Hotopf,Edward T. Bullmore +25 more
TL;DR: There is an urgent need for research to address how mental health consequences for vulnerable groups can be mitigated under pandemic conditions, and on the impact of repeated media consumption and health messaging around COVID-19.
Journal ArticleDOI
Adherence in internet interventions for anxiety and depression.
TL;DR: A systematic review of randomized controlled trials using Internet interventions for anxiety and depression was conducted, and data was collected on dropout and adherence, predictors of adherence, and reasons for dropout.
Journal ArticleDOI
How mental health care should change as a consequence of the COVID-19 pandemic.
Carmen Moreno,Til Wykes,Til Wykes,Silvana Galderisi,Merete Nordentoft,Nicholas Crossley,Nev Jones,Mary Cannon,Christoph U. Correll,Christoph U. Correll,Louise Byrne,Louise Byrne,Sarah Carr,Eric Y.H. Chen,Philip Gorwood,Sonia Johnson,Hilkka Kärkkäinen,John H. Krystal,Jimmy Chee Keong Lee,Jeffrey A. Lieberman,Carlos López-Jaramillo,Miia Männikkö,Michael Phillips,Hiroyuki Uchida,Eduard Vieta,Antonio Vita,Celso Arango +26 more
TL;DR: The interconnectedness of the world made society vulnerable to this infection, but it also provides the infrastructure to address previous system failings by disseminating good practices that can result in sustained, efficient, and equitable delivery of mental health-care delivery.
Journal ArticleDOI
The effectiveness of telemental health: A 2013 review
Donald M. Hilty,Daphne C. Ferrer,Michelle Burke Parish,Barb Johnston,Edward J. Callahan,Peter Mackinlay Yellowlees +5 more
TL;DR: Telemental health is effective for diagnosis and assessment across many populations and for disorders in many settings and appears to be comparable to in-person care.